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Titre : | Efficacy of a Telephone-Delivered Self-Management Intervention for Persons With Multiple Sclerosis: A Randomized Controlled Trial With a One-Year Follow-Up (2015) |
Auteurs : | Dawn M. Ehde ; Jamie L. Elzea ; Aimee M. Verrall |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2015/11, 2015) |
Article en page(s) : | pp. 19451958 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Autosoins ; Dépression ; Douleur chronique ; Fatigue ; Rééducation et réadaptation ; Sclérose en plaques |
Mots-clés: | Chronic pain ; Multiple sclerosis ; Self care |
Résumé : |
Objective To evaluate the efficacy of a telephone-delivered self-management intervention for fatigue, pain, and depression in adults with multiple sclerosis (MS). Design Single-center, randomized (1:1), single-blind (outcome assessors), parallel-group trial with a primary endpoint of posttreatment (911wk postrandomization) and long-term follow-up at 6 and 12 months. Setting Telephone-delivered across the United States. Participants Adults with MS (N=163) with fatigue, chronic pain, and/or moderate depressive symptoms (age range, 2576y). Interventions Eight-week individual telephone-delivered self-management intervention (T-SM) (n=75) versus an 8-week individual telephone-delivered MS education intervention (T-ED) (n=88). Main Outcome Measures The primary outcome was the proportion who achieved a ≥50% decrease in 1 or more symptomsfatigue impact, pain interference, and/or depression severity. Secondary outcomes included continuous measures of pain, fatigue impact, depression, self-efficacy, activation, health-related quality of life, resilience, and affect. Results For our primary outcome, 58% of those in the T-SM group and 46% of those in the T-ED group had a ≥50% reduction in 1 or more symptoms; this difference was not statistically significant (odds ratio, 1.50; 95% confidence interval, .772.93; P=.238). Participants in both groups significantly improved from baseline to posttreatment in primary and secondary outcome measures (P<.05 t-sm participants reported significantly higher treatment satisfaction and therapeutic alliance greater improvements in activation positive affect social roles. were generally maintained at months.> Conclusions Both interventions resulted in short- and long-term, clinically meaningful benefits. The study demonstrated that the telephone is an effective method for engaging participants in care and extending the reach of rehabilitation for individuals with MS. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999315006474 |